Senior Director, Medicaid Compliance

Centene Corporation•Remote-MO, MO

3d•$148,000 - $274,200•Remote

About The Position

Lead the Compliance Advisory & Research and Compliance Response & Escalation teams, providing strategic direction across complex compliance functions. Partner closely with senior leadership to guide compliance research, oversee multi-market regulatory disclosures, and help ensure key business initiatives align with applicable federal, state, and contractual requirements. This role plays a critical part in advancing compliant, scalable solutions in support of enterprise simplification efforts. Support direct correspondence with state regulators. Managing all facets of Compliance research for Medicaid line of business for the Enterprise. Serve as senior leadership in Compliance Risk Assessment process working directly with corporate and Executive Management team to ensure current evaluation and documentation of business risks. Work closely with auditing and monitoring team, corrections team, and regulatory change management team to facilitate research and implementation. Performs other duties as assigned. Comply with all policies and standards.

Requirements

Bachelor's Degree in related field, or equivalent experience required.
7+ years Compliance program management and contract experience with State Medicaid programs including internal and State audits required.
5+ years Health care regulatory agencies in development of compliance and fraud programs; required.
5+ years Overseeing implementation of contract requirements required.

Nice To Haves

Master's Degree preferred.
10+ years Compliance/Enterprise Risk Management preferred.

Responsibilities

Lead the Compliance Advisory & Research and Compliance Response & Escalation teams, providing strategic direction across complex compliance functions.
Partner closely with senior leadership to guide compliance research, oversee multi-market regulatory disclosures, and help ensure key business initiatives align with applicable federal, state, and contractual requirements.
Support direct correspondence with state regulators.
Manage all facets of Compliance research for Medicaid line of business for the Enterprise.
Serve as senior leadership in Compliance Risk Assessment process working directly with corporate and Executive Management team to ensure current evaluation and documentation of business risks.
Work closely with auditing and monitoring team, corrections team, and regulatory change management team to facilitate research and implementation.
Performs other duties as assigned.
Comply with all policies and standards.